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Illinois rates for HCPCS 43647

Laps Impltj/Rplcmt Gastric Nstim Eltrd Antrum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.00 / $2,368.00 / $7,059.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.89 / $605.41 / $1,016.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,249.12 / $18,705.46 / $23,008.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.54 / $1,565.54 / $2,142.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.78 / $1,230.00 / $1,900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.58 / $1,016.51 / $1,355.35
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,340.57 / $2,101.12 / $3,506.99
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.60 / $1,584.31 / $1,785.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,276.00 / $8,141.00 / $21,651.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.49 / $1,379.34 / $2,557.17